Degenerative Disc Disease, Back Pain Causes, Symptoms & Relief
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- čas přidán 7. 09. 2024
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Degenerative Disc Disease (DDD) is a common diagnosis for those with Chronic Lower Back Pain. DDD is accelerated Spine Degeneration, resulting in disc thinning and loss of fluid, often influenced by lifestyle, posture, and muscular imbalances. While it is a normal part of aging, a DDD diagnosis at a young age may indicate accelerated degeneration.
To manage Degenerative Disc Disease, avoid activities that involve excessive vibration and minimize excessive sitting. Surgery is usually not necessary for this condition. Stem cell injections and PRP may provide some relief, although the effectiveness is still not fully supported by research. The best approach is to focus on functional movement through the hips, which can help Stabilize the Lumbar Spine and reduce disc wear and tear. By learning to hinge at the hips instead of flexing the spine, individuals can reduce the strain on their lower back and potentially halt the progression of degeneration.
Developing hip and leg strength is the key to maintaining healthy movement patterns and relieving stress on the lumbar spine. By being mindful of how you move through your daily activities, you can improve your overall quality of life and potentially alleviate the symptoms associated with Degenerative Disc Disease.
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My name is Dr. Ryan Peebles and I have dedicated the last 20 years of my life to better understanding and reversing the root causes of chronic lower back pain. Core Balance Training - CBT is not a fitness program, it's a long-term solution, which can bring you back to normal life and regular movement without chronic pain.
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Disclaimer:
Dr. Ryan Peebles, DPT is licensed to treat people seeking physical therapy in the state of California. All content on the Core Balance Training CZcams Channel is provided for educational purposes only and is not a substitute for the advice, diagnosis or treatment of a health care professional familiar with your specific medical history, conditions and needs. Consult with a health care professional in your state/country before attempting any exercise or movement you have seen on this channel, or before making ANY treatment decision. Never disregard professional medical advice or delay in seeking it because of something you have heard, read or seen in any of our content.
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I have this , grade 3 spondylolisthes, double nerve root entrapment, you can see the spasams in my legs every day , diagnosed with prostate cancer just before christmas , 3 weeks after that i fibd out i habe full blown osteoporosis, double sacrum fracture, started iv infusions over next 3 years , im 45 dont drink dont smoke, eat healthy , my advice train your mind just as much as your body
What about replacement discs? There's not much US data, but in the EU there is some great data showing that modern prosthetic discs extended the performance of top-tier semi-pro and professional athletes (especially in tennis) by an average of 5 years! I'm a triathlete, and I want that longevity.
Another metric to consider is net height loss, and where that loss has occurred. At peak height, my father was 6'1" and I was 6' even. My dad is 94 and I'm 68. My dad is 6'0", a loss of only one inch, and I'm down to 5'10", 2 inches down and still shrinking.
My personal approach has been multi-faceted:
1) Maximize core (back, abs, oblique) strength and stability. Lots of static planks and supermans, plus dynamic and weighted/resistance equivalents.
2) Lift vertically, and avoid outstretched/reaching lifting. (Edit: My DLs and RDLs are epic.)
3) Add heel padding to walking shoes (soften the heel strike) and run with a forefoot strike (using my calves as shock-absorbing disc stand-ins).
Yet I still want my height back, to regain the body's natural cushioning, and the associated vertebral resilience and mobility. (Edit: And to hopefully reverse the extensive mild-to-moderate inner leg and foot numbness after severe bilateral sciatica.)
There is a wide variety of prosthetic discs available on the market (and more soon to be available), though few are yet approved by the FDA: The EU is far ahead, and the cost of a plane ticket is trivial (edit: Compared to the deductibles). The key differences between replacement disc types involves how the disc is assembled, implanted, its durability, and how it moves. The elastomeric one-piece replacements are by far the best mechanically, yet are by far the hardest to implant (needing large vertebral separations). I think there are precisely 2 US surgeons authorized to implant such discs, and even then only as part of investigatory studies blessed by the FDA.
The next factor for me, as I have progressive DDD losses spanning multiple lumbar discs, is getting multiple prosthetic discs implanted. There is only one multi-level lumbar replacement disc type approved by the FDA (NOT for L5-S1), but it is indicated only for sedentary individuals, not for active athletes. The EU is doing far better, and Asia has recently been advancing quickly as well.
It would be very cool to learn how many athletes in the 2024 Summer Olympics are competing with prosthetic discs.
Edit: I have made other compensations to continue in triathlon. For example, I can only comfortably ride a bike in two positions: Aggressive aero (back parallel to the ground) and fully upright (ebike with a cushy seat, shock-absorbing seatpost and large tires). My race bike frame is by Titanflex, with a titanium "boom" that provides significant isolation between the road and my butt. I tried riding with reduced tire pressure, but the efficiency loss drove me crazy, so I now ride with extremely hard tires and let other subsystems handle the road vibration and shock. And I love ISM Adamo saddles!
Wow from my understanding artificial disc have fail from what they promises, to conserve natural movement, will be really interesting to see if there are athletes with artificial disc competing, I think you are very brave to keep as a triathlete, my respects....
I really like your approach to DDD. I have been battling this for a few years, two ER visits and lots of different treatments. I regret that you caution against the vibration platform. In my case it kept me off pain meds for an entire year. The theory is stimulation of stem cells in the bone marrow.
Thank you for this explanation. Recently diagnosed with DDD. I have surgery at L3 L4. I have to figure out how to strengthen core and low back. My journey begins.
Thank you Doc for sharing this information very helpful.
Thank you for your video
Just saw you on FB I have done like 8 hours of breathing and some stretching and I feel phenomenal
How do you exactly "hinge the hips"? Please and thank you.
Yes. Same question- like when standing at countertop - how do we “feel” the hip engagement to decrease the trunk flexion/back extension? Thank you.
Would you continue running - regular as exercise or playing sport?
Thanks doctor ❤
Thank you for your time doing your videos. You explain so easy and thoroughly. Your videos are VERY educational.
This information is valuable. I'm
Thank you, this was really interesting and I will be very cognizant of using my hips more and work on strengthening them for I too have degenerative discs and lesions throughout my spine. That made so much sense about avoiding vibration! I assume gravel biking is something that would aggravate the spine?
I am from INDIA, u r genius
Awesome information! Thank you.
Thanks
Thanks doc, you indeed solved questions I had regarding this topic. However, there is still something I am wondering.
If you adapt a lifestyle that focuses on hydrating regularly, decompressing your spine regularly, and training core stability regulary, wouldn't that promote disc rehydration?
The body has regenerative capabilites, which when combined with good care of your spine, wouldn't it be possible to regain disc health on top of just stopping degeneration?
Reply doc
Do you have any recommendations if you have degeneration/herniated discs as well as a torn hip labrum? Thank you!
Thank you
Is playing football or just running bad for DDD? Does running make big vibrations to our spinal discs?
Fibromyalgia + DDD + Hypermobility Spectrum Disorder + Myofascial Pain Disorder + 32 degree thoracic-lumbar scoliosis + cervical instability. I don't even know what neutral should feel/look like.
I am almost the same. I hear you!
@@divacassandra1 that is indeed a difficult item for many. I had fusion surgery.. it took me 10 + years to get even a connection to my core again.. biomechanical changes due to surgery too..
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